Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Rose Campanella, PA-C

Individual provider Physician Assistant · NPI 1275295495

Jaclyn Rose Campanella, PA-C is a Physician Assistant in Camden, New Jersey. Qualified in 2021, 5 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
5
Licensed in
NJ, PA
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Cooper Plz
Camden, NJ 08103-1461
Phone: (800) 826-6737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E Lancaster Ave, Wynnewood, PA 19096-3450 — (866) 225-5654

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00672400 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence MA063048 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA005883 (PA)

Record details

NPI number1275295495
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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